Individual
SHERI KALLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
203 S WESTERN AVE, TONASKET, WA 98855-8803
(509) 486-2151
(509) 486-3166
Mailing address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 227-2575
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
39103
ID
363L00000X
Nurse Practitioner
AP61335369
WA
363LF0000X
Family Nurse Practitioner
Primary
69801
ID
Other
Enumeration date
11/04/2021
Last updated
05/31/2024
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